Individual provider Active NPI

Lori Anne Klein, LMFT

  • Marriage & Family Therapist
  • Lakeville, MN
National Provider Identifier
1437765237
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1307-124 Issued in WI
Practice address
17685 Juniper Path Ste 303
Lakeville, MN 55044-9821
Phone
(952) 214-8959
Fax
(952) 214-8960
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1307-124 WI Primary

Addresses

Primary practice location

17685 Juniper Path Ste 303
Lakeville, MN 55044-9821

Mailing address

17685 Juniper Path Ste 303
Lakeville, MN 55044-9821
Phone (952) 214-8959

Other practice location 1

100 N Nine Mound Rd
Verona, WI 53593-1032
Phone (608) 845-9531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1307-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD Marriage & Family Therapist CurrentSince Mar 20, 2022 Accepting new patients

Locations

17685 Juniper Path
Ste 303
Lakeville, MN 55044
Phone (952) 214-8959

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1437765237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17685 JUNIPER PATH STE 303",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449821",
            "telephone_number": "952-214-8959",
            "fax_number": "952-214-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17685 JUNIPER PATH STE 303",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449821",
            "telephone_number": "952-214-8959",
            "fax_number": "952-214-8960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Nine Mound Rd",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "WI",
            "postal_code": "535931032",
            "country_code": "US",
            "telephone_number": "608-845-9531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "LORI",
        "middle_name": "ANNE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1307-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.